Triple Feeding Plans
A Triple Feeding Plan is not something I would ever recommend lightly. However, in complex situations, it can make or break the success of long term breastfeeding.
In what situations might I suggest a Triple Feeding Plan?
During a NICU separation.
With an preterm or early term infant.
A baby experiencing jaundice.
An infant who is not able to transfer well.
Tongue tie that affects latch.
A child who is born sick.
When a mother has health issues causing separation.
For a family who is dealing with surgery in the early days.
These are just a few examples of when I might suggest a Triple Feeding Plan and not an exhaustive list. Triple Feeding Plans should always be temporary. There should be reevaluation taking place regularly to check in on how a family is doing and if any changes have occurred.
What is the purpose of a Triple Feeding Plan? First, it is used to main maintain or increase mom’s milk supply. Next, it ensures that there is expressed milk available for supplementation as needed.
How does a Triple Feeding Plan work?
Breastfeed the infant (sometimes on one side) for 10-15 minutes.
Pump (sometimes on one side) both sides for 10-15 minutes.
Provide the pumped milk to the infant as supplementation.
The total time it takes to triple feed should be 30-45 minutes. There are many ways to provide the supplementation including a spoon, bottle, syringe, and SNS system. Depending on a family’s goals, there are benefits and drawbacks to each type of supplementation device.
If you need to follow a Triple Feeding Plan, a lactation consultant can assist in the process and help you meet your goals. Most impor
